Skin allergy: Modelling the T cell response
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Skin allergy: Modelling the T cell response Michael Davies, Vicki Summerfield, Gavin Maxwell Unilever Safety and Environmental Assurance Centre Carmen Molina-París, Grant Lythe, Ed Clark University of Leeds European Congress of Immunology Glasgow, 6th September 2012
Human Health Risk Assessment for Skin Allergy Exposure Hazard Risk ? X Product Historical Non-animal In Vivo • We risk assess to prevent skin allergy in consumers • What risk does ingredient X at conc. Y in product Z pose to the consumer? • How can we risk assess without new animal test data? 1. Identify pathways driving human adverse response 2. Develop test methods to predict key toxicity pathways 3. Will response be adverse for given exposure scenario?
Identify the toxicity pathways driving the human adverse response Lymph Node ? Epidermis Epidermis Induction Elicitation 1. Skin 8-10. Allergic Contact Penetration 7. Presentation of Dermatitis: Epidermal 3-4. Haptenation: 5-6. Activation haptenated protein by inflammation 2. Electrophilic covalent of epidermal Dendritic cell resulting following re-exposure substance: modification of keratinocytes & in activation & to substance due to T directly or via epidermal proteins Dendritic cells proliferation of cell-mediated cell auto-oxidation specific T cells death or metabolism Key Event 1 Key Event 2 + 3 Key Event 4 Adverse Outcome Modified version of flow diagram from ‘The Adverse Outcome Pathway for Skin Sensitisation initiated by Covalent Binding to Proteins’, OECD report (Draft: 14th Dec 2011)
Applied Dose Total haptenated skin protein
‘T lymphocytes: Orchestrators of Skin Sensitisation’ workshop • Immunologists, toxicologists & mathematical modellers – 2 day workshop in May 2010, London • What are the characteristics of the T cell response that could reflect human Weaker allergen Stronger allergen skin sensitiser potency? • Magnitude: What is the extent of sensitiser-induced T cell response Number of T lymphocytes (volume, kinetics & duration)? • Quality: Within sensitiser-induced T Treg CD8+ cell response, what is the balance between the T cell sub-populations? CD8+ Treg • Breadth: What proportion of the T cell clonal repertoire has been stimulated by a given sensitiser? Kimber et al, 2012, Toxicology 29118-24 Time
Current CD8+ model scope • Current model scope is focussed on DLN Blood Skin modelling the magnitude of CD8+ (effector, CTL) T cell response CD8 • Include subsets of central memory, N CD8 N effector memory, naïve and cytotoxic T cells (CD8+ T cell populations only) • Only model T cell clones that are CD8 CD8 specific to antigen CTL CD8 CTL CTL • Human sensitiser-specific T cell data CD8 is not available: CM CD8 CM • Make use of relevant literature data • Initiate new research to generate CD8 sensitiser-specific data to test and CD8 EM EM improve model
Naïve and CM turnover 0.004 cells.d-1 • Naïve mean turnover rate of 0.00035 d-1 • Half life of 5 years • Thymic production accounts for 20% of production in 25 year old individual 0.00028 d-1 CD8 • Assume background proliferation rate N contributes 80% to maintain homeostasis 0.00035 d-1 • CM mean turnover rate of 0.00277 d-1 0.0025 d-1 CD8 • Half life of 0.7 years CM • Assume proliferation rate 90% of death rate to give population lasting decades 0.00277 d-1 Vrisekoop et al, 2008, PNAS 105 (16) 6115-6120; Murray et al, 2003, Immunol. Cell Biol. 81 487-495
CD8 Proliferation rates with antigen CTL Yoon et al, 2010, PLOS One 5 (11) e15423 • After each exposure to antigen, 5 day period with increased proliferation and differentiation • Programmed proliferation of cytotoxic T cells • No human data for proliferation rates • Proliferation rate of 1.8 d-1 in mice with CD69 viral infection CFSE 6 hrs 12 hrs
Initial population size • Unexposed individual • Zero antigen specific cytotoxic or memory CD8+ T cells at the start • Number of naïve antigen specific CD8+ T cells in DLN, blood, (skin) • Assume exposure to skin on the arm • 25 draining lymph nodes (DLN) in axilla out of 650 in total • Assume single antigen, single TCR • One in 25 million naïve T cells are antigen specific Whole of body 72.5 bn All LNs 2900 All TCRs DLN Blood Skin Ag specific (1 TCR) 19 bn 760 0.73 bn 1.45 bn 29 58 Vrisekoop et al, 2008, PNAS 105 (16) 6115-6120; Westermann & Pabst, 1992, Clin. Investig. 70 539-544; Arstila et al, 1999, Science 286 958
Migration to lymph nodes • Quantitative data from sheep: assume similar scale for humans • 1 billion lymphocytes per day into / out of each lymph node • 96 antigen specific naïve CD8+ T cells per day into / out of 25 DLNs • Include effects of lymph node shutdown and increased influx Young, 1999, Seminars in Immunol. 11 73-83; Haig et al, 1999, Immunol. 96 155-163; Seabrook et al, 2005, Immunol. 116 184-192
Current model predictions: 3 exposures at 2 week intervals DLN Blood Skin CD8 N CD8 N CD8 CD8 CTL CD8 CTL CTL CD8 CM CD8 CM CD8 CD8 EM EM
Effects of sensitive parameters
Next Steps • Iterative refinement of model scope using relevant literature & experimental data • e.g what is the optimum T cell response parameter(s) to measure/predict? • wet-dry cycle approach • Generate sensitiser-specific datasets to inform or benchmark model predictions • e.g. benchmarking the T cell response: • characterising induction of hapten-specific T cell responses in patients undergoing sensitiser treatment for defined clinical benefit • characterising ‘mature’ T cell response in individuals attending dermatology patch test clinics for diagnosis of existing allergic contact dermatitis
Thank You – Questions? Acknowledgments: Maja Aleksic, Richard Cubberley, Julia Fentem, Michael Hughes, Todd Gouin, Gaurav Jain, Sandrine Jacquoilleot, Cameron MacKay, Gavin Maxwell, Craig Moore, Deborah Parkin, Juliette Pickles, Fiona Reynolds, Ouarda Saib, David Sheffield, Vicki Summerfield, Jeff Temblay, Carl Westmoreland & Sam Windebank
Modelling T cell response - Overview T cell response parameters 1 • Develop a pragmatic mathematical model using pathogen-derived literature data on the antigen-specific CD8+ T cell response 1 2 3 3 year study 1 magnitude 1 2 3 Clinical research to 3 • Develop mathematical characterise: models to explore to what • induction of sensitiser- extent magnitude, quality specific T cell response CD8+ & breadth drive sensitiser- in humans induced T cell response • 3 year study • Establish the key metrics • Characterise the Treg ‘breath’ of human for predicting adverse sensitisation threshold sensitiser-induced T • Use in vitro & human • sensitiser-specific T cell response & clinical data to inform cell response in already establish how ‘breadth’ 2 quality impacts on magnitude model predictions sensitised individuals &/or quality of T cell response 3 breadth
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